SHRUHI MODI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

SHRUHI

Last Name

MODI

Business Name

SHRUHI MODI

Original Issue Date

03/21/2025

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026